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June 1, 2003IEEE Transactions on Biomedical Engineering

Assessment of myocardial lesion size during in vitro radio frequency catheter ablation

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Why the study?

Do biophysical parameters such as phase angle and impedance components accurately estimate myocardial lesion size during in vitro RF catheter ablation?

Population

In vitro cardiac tissue

Comparison

Radio frequency catheter ablation with… vs Standard impedance monitoring alone

Design

Preclinical

Key result

Irreversible changes in reactive and resistive components of impedance, particularly phase angle, correlate better with in vitro RF ablation lesion size than impedance alone.

Authors

DHDing Sheng HeMBM. BosnosMMMary Z. Mays

Discussion

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Overview

May better estimate RF lesion size than impedance alone; hypothesis-generating for clinical use, needs in vivo validation.

Structured PICO

Do biophysical parameters such as phase angle and impedance components accurately estimate myocardial lesion size during in vitro RF catheter ablation?

P
Population
In vitro cardiac tissue
I
Intervention
Radio frequency (RF) catheter ablation with monitoring of biophysical parameters (reactive and resistive components of tissue impedance, phase angle)
C
Comparator
Standard impedance monitoring alone
O
Outcome
Correlation of biophysical parameters with myocardial lesion sizesurrogate

Monitoring phase angle and specific impedance components during RF ablation may provide a more accurate estimation of lesion size than standard impedance monitoring.

Cite This Study

He et al. (2003) studied Radio frequency catheter ablation. Assessment of biophysical parameters (phase angle, capacitance, susceptance) vs. Impedance alone was evaluated on Correlation of biophysical parameters with lesion size. Irreversible changes in reactive and resistive components of impedance, particularly phase angle, correlate better with in vitro RF ablation lesion size than impedance alone.

synapsesocial.com/papers/6a15724e9b87f33fc69f903bhttps://doi.org/10.1109/tbme.2003.812161
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Tissue Heating During Radiofrequency Catheter Ablation: A Thermodynamic Model and Observations in Isolated Perfused and Superfused Canine Right Ventricular Free Wall1989 · 438 citations
  2. 2Observations on electrode-tissue interface temperature and effect on electrical impedance during radiofrequency ablation of ventricular myocardium.1990 · 319 citations
  3. 3Ultrastructural Observations in the Myocardium Beyond the Region of Acute Coagulation Necrosis Following Radiofrequency Catheter Ablation1994 · 58 citations
  4. 4Temperature-controlled radiofrequency catheter ablation of manifest accessory pathways1996 · 21 citations
  5. 5Catheter Ablation of Accessory Pathways, Atrioventricular Nodal Reentrant Tachycardia, and the Atrioventricular Junction1999 · 617 citations